RESULTS OF EARLY OPEN REDUCTION IN CHILDREN FEMORAL NECK FRACTURES

Early stage open reduction results of collum femoris fractures of children. We reviewed 9 children's fractures of the femoral neck treated in the department of orthopaedic Surgery and Travmatology of the Dicle Universty Medical School during 1991-1996. The main age at the time of fracture 9 (5-13) and the mean length of follow-up after fracture was 22 month (13-36). The patients were operated in the first 24 hours following trauma. Delbet-Colonna's classification was used to classify the type of fracture; four type 2, three type 3, two type 4. According to Ratliffs classification, final results of six cases evaluated good, one fair, two poor. We observed one avasculer necrosis, one premature physeal closure and coxa vara related to previous complication. In child deplaced collum femoris fractures, we are of the opinion that intracapsulary hematome drainage, reduction and internal fixation will reduce the complication rate.

ÇOCUK FEMUR BOYUN KIRIKLARINDA ERKEN DÖNEMDE YAPILAN AÇIK REDÜKSÝYON SONUÇLARI

Dicle üniversitesi Týp Fakültesi Ortopedi ve Travmatoloji Kliniðinde 1991-l996 yýllarý arasýnda yaþlarý ortalama 9 (5-13) olan 9 kollum femoris kýrýklý hasta travmadan sonra ilk 24 saat içerisinde operasyona alýndý. Kýrýklar Delbet-Collona sýnýflamasýna göre gruplandýrýldýðýnda, 4'ü Tip I, 3'ü Tip II, 2'si ise Tip IV olarak deðerlendirildi. Ýntrakapsüler kýrýk hematomu boþaltýldýktan sonra açýk redaksiyon uygulandý. Hastalar ortalama 22 (13-36) ay takip edildiler. Ratlif kriterlerine göre 2 olgu kötü, 1 olgu orta, 6 olgu ise iyi olarak deðerlendirildi. Olgularýmýzdan 1 'inde avasküler nekroz, 1 'inde imlant yetmezliði ve koksa vara, 1 'inde ise erken epifiz kapanmasý geliþti. Çocuk deplase kollum femoris kýrýklarýnda erken dönemde intrakapsüler hematomun boþaltýlmasý, açýk redüksüyon ve internal fiksasyonun komplikasyon oranýný düþüreceði kanaatindeyiz.